Organization Active NPI

Angela F. Stewart, O.D., P.C.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1396764684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001242 Issued in VA
Legal business name
ANGELA F. STEWART, O.D., P.C.
Practice address
4807 Valley View Blvd NW
Roanoke, VA 24012-2018
Phone
(540) 265-7420
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Angela Fowler Stewart, O.D.NPI 1124068606
Title
President
Phone
(540) 265-7420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001242 VA Primary

Addresses

Primary practice location

4807 Valley View Blvd NW
Roanoke, VA 24012-2018

Mailing address

4807 Valley View Blvd NW
Roanoke, VA 24012-2018
Phone (540) 265-7420

National Provider Directory

National Provider Directory

Locations

4807 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 265-5611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396764684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122018",
            "telephone_number": "540-265-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122018",
            "telephone_number": "540-265-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA F. STEWART, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-265-7420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.